Clara has a five-week history of epigastric pain that is worse after she eats. The pain is minimally relieved by Mylanta or burping.

Clara has a five-week history of epigastric pain that is worse after she eats. The pain is minimally relieved by Mylanta or burping. She has come to your office for evaluation and your initial impression is gastritis. What is your recommendation and treatment plan? What clinical guidelines support your decision and why?

April is an 18-year-old female who comes to clinic today for her sports physical and immunizations. Her immunization history notes she has had all her vaccines through age 5 and one dose of the HPV vaccine at age 11. Can she finish the HPV series or will she need to start over? Based on the pharmacotherapeutics of this vaccine, what precautions and contraindications do you need to consider? What are the adverse drug reactions? What is the VIS and why is it important?

Janice is a 64-year-old black female with a history of HTN. She currently takes Lisinopril 20mg daily and Norvasc 10mg daily. Her most recent labs show cholesterol 360, triglycerides 450, LDL 220, and HDL 60. Her CR is 1.2 and GFR is normal. Her current blood pressure is 150/90. Do you think Janice’s treatment plan is optimal? What other information would you like to obtain? Discuss how you would guide Janice’s treatment plan using evidence-based guidelines.

Use at least one scholarly source other than your textbook to connect your response to national guidelines and evidence-based research in support of your ideas.

In your peer replies, please reply to at least one peer who chose a different case study.